Effect of Chosen Treatment Methods in Patients With Cervical Spine Osteoarthritis (PNF)
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|ClinicalTrials.gov Identifier: NCT03683602|
Recruitment Status : Completed
First Posted : September 25, 2018
Last Update Posted : September 25, 2018
Abstract Objective: To compare effect of PNF therapy with manual therapy on pain, associated symptoms, range of motion and functioning in patients with cervical spine osteoarthritis.
Design: Parallel group, single-center, double-blinded randomized controlled trial.
Setting: Outpatient clinic in hospital KCRiO. Subject: Eligible patients were female adults with chronic pain of cervical spine due to osteoarthritis of vertebral body and intervertebral disc confirmed by X-ray.
Interventions: Group I (PNF group) was treated according to PNF concept, while Group II according to manual therapy (manual therapy group). Both groups received 10 days of treatment, 45 minutes each day.
Main measures: Primary outcomes measures were Oswestry scale and range of motion (ROM). Secondary outcomes measures were subjective evaluation of cervical pain according to VAS scale and associated symptoms (headache, vertigo, ROM of shoulder joints, balance). For each scale results were measured at baseline, after two weeks of intervention and after a three-month follow-up period without therapy.
Keywords: neck pain, PNF, manual therapy
|Condition or disease||Intervention/treatment||Phase|
|Cervical Spine Osteophyte||Other: PNF group Other: manual therapy group||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||80 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Double (Participant, Outcomes Assessor)|
|Official Title:||Effect of Chosen Treatment Methods on Pain, ROM, Associated Symptoms and Functioning in Patients With Cervical Spine Osteoarthritis: Randomised Control Trial|
|Actual Study Start Date :||January 2011|
|Actual Primary Completion Date :||April 2013|
|Actual Study Completion Date :||April 2014|
Experimental: PNF group
PNF techniques, patterns, re-education of postural control, once a day 10 days,
Other: PNF group
PNF is used in treatment of musculoskeletal pain of cervical and lumbar spine. Proprioceptive neuromuscular facilitation is a rehabilitation concept widely used by physiotherapists in many countries, in which stimulation of central nervous system is to achieve the highest possible functional level
Active Comparator: Manual therapy group
traction, joints mobilization, pos-isometric relaxation, once a day 10 days
Other: manual therapy group
Manual therapy is used for an assessment and treatment of joint and soft tissues.
The basic therapeutic tool is mobilisation. In the study joint mobilisation according to Kaltenborn-Evjenth Manual Therapy was used. The joint were mobilised with low velocity passive movements in the whole or end range. Spinal manipulation wasn't used. Liter Exelby reports that manual therapy with joints mobilisation was quite effective in improvement of functional movements and decreasing of pain.
- Oswestry scale [ Time Frame: Change from baseline Oswesstry scale at 2 weeks. ]Oswestry Disability Index (ODI) can be used for evaluation both cervical and lumbar spine. It is the most common method used for disability evaluation of patients with neck pain. It consits of questiones which evaluate how the pain limits activities. There are 10 questiones concerning ADLs.
- VAS scale [ Time Frame: baseline, two weeks, 3 months ]One of the most commonly used scale for pain evaluation is Visual Analogue Scale (VAS). It is easy to use, it doesn't require any verbal or reading abilities and it's comprehensive enough. A patient is asked to indicate his/her perceived pain intensity (most commonly) along a 100 mm horizontal line, and this rating is then measured from the left side.
- assessment of the occurrence of vertigo, balance problems,nausea,limited ROM in shoulder joints [ Time Frame: baseline, two weeks, 3 months ]There were closed questiones with yes or no answer
- ROM evaluation [ Time Frame: baseline, two weeks, 3 months ]ROM of cervical spine was evaluated with a measuring tape
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03683602
|Krakowskie Centrum Rehabilitacji i Ortopedii|
|Krakow, Malopolska, Poland, 30-224|
|Principal Investigator:||Tomasz Maicki, PhD||Jagiellonian University Colegium Medicum|